| NPI | 1265186977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 175T00000X Peer Specialist | |
| 225500000X Specialist/Technologist | |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2023-05-26 |